PROTOCOL



ADMINISTRATIVE GUIDELINE

The following list is provided for those unfamiliar with acronyms and abbreviations commonly used within the agency. To assist staff or Board members new to the agency or others unfamiliar with agency vernacular, if other acronyms are used in agency documents or other communication, the full name(s) or word(s) should be used at least once, and early, within the document with the acronym in parentheses immediately following the wording; e.g., Dialectical Behavior Treatment (DBT) or, as an alternative, an acronym should not be used at all.

AA Alcoholics Anonymous

a.c. Before Meals

ACSW Academy of Certified Social Workers

ACT Assertive Community Treatment Team

ADA American Disabilities Act

ADD Attention Deficit Disorder

ADHD Attention Deficit Hyperactivity Disorder

ADL Activities of Daily Living

AFC Adult Foster Care

AIMS Abnormal Involuntary Movement Scale

ALD Assistive Listening Devices

APS Adult Protective Services

b.i.d. Twice a Day

BA Bachelor of Arts

BM Bowel Movement

BP Blood Pressure

BS Bachelor of Science

BSFT Brief Strategic Family Therapy

BSR Budget Status Report

BSW Bachelor of Social Work

BTC Behavior Treatment Committee

BTP Behavior Treatment Program

c¯ With

CA Coordinating Agency (Substance Abuse)

CAFAS Child and Adolescent Functional Assessment Scale

CBC Complete Blood Count

CBT Cognitive Behavior Treatment

CCTC Clare County Transportation Commission

CLS Community Living Supports

CM Case Manager

CMCH Central Michigan Community Hospital

CMH Community Mental Health

CMHC Fiscal, Clinical & Data Software

CMHCM Community Mental Health for Central Michigan

CMHP Certified Mental Health Professional

CMHSP Community Mental Health Services Program

CMIT Crisis Mobilization and Intervention Team

CNA Certified Nurse’s Aide

COBRA Consolidated Omnibus Budget Reconciliation Act

COD Co-occurring Disorder

COFR County of Financial Responsibility

COTA Certified Occupational Therapy Assistant

CPSS Certified Peer Support Specialist

CPR Cardiopulmonary Resuscitation

CPS Child Protection Services

CSS Crisis Stabilization Specialist

CST Community Supports Technician

CT Computer Tomography (Catscan)

CVA Choice Voucher Agreement

CWL Caregiver Wish List

DBT Dialectic Behavior Therapy

DCW Direct Care Worker

DD Developmental Disability

DHS Department of Human Services

DO Doctor of Osteopathy

DSM-IV 4th Edition—Diagnostic & Statistical Manual of Mental Disorders

DSM-IV-TR 4th Edition – Diagnostic & Statistical Manual of Mental Disorders – Text Revision

Dx Diagnosis

EBP Evidence-Based Practice

eCET CMHC Software Clinical Package

ECG/EKG Electrocardiogram

EEG Electroencephalogram

ELT Executive Leadership Team

EMR Electronic Medical Record

EPS Extra-pyramidal Side Effects

ER Emergency Room

FASB Financial Accounting Standards Board

FOC Friend of the Court

FPE Family Psychoeducation

FSP Family Service Plan (Home-Based Services)

FSR Financial Status Report

FSSP Family Support Subsidy Program

FTBS Families Together Building Solutions

FTE Full-Time Equivalent Position

Fx Fracture

FY Fiscal Year

GAAP Generally Accepted Accounting Practices

GAF Global Assessment Functioning

GAS Global Assessment Scale

GASB Governmental Accounting Standards Board

GED General Education Degree

GMS Greater Midland Society for Arts Education

HAB Habilitation Supports Waiver

HIPAA Health Insurance Portability & Accountability Act

HMO Health Maintenance Organization

HNWM Hope Network of West Michigan [(includes Mecosta/Osceola Area Rehabilitation Center (Workshop)]

HSCB Human Services Coordinating Body

HSW Habilitation Supports Waiver

Hx History

I&O Input and Output

ICCC Isabella County Community Collaborative

ICD-9 9th Revision of International Classification of Diseases

ICD-10 10th Revision of International Classification of Diseases

ICF-MR Intermediate Care Facilities for Persons with Mental Retardation

ICTC Isabella County Transportation Commission

IDDT Integrated Dually Diagnosed Treatment

IEPC Individual Educational Plan Committee

IFSP Individualized Family Service Plan (Ages 0-3)

IM Intramuscularly (Injection)

IMH Infant Mental Health

IPLT Improving Practices Leadership Team

IS Information Systems

ISD Intermediate School District

ISS Infant Support Services

IV Intravenous

LBSW Licensed Bachelor Social Worker

LD Learning Disability

LLP Limited Licensed Psychologist

LMSW Licensed Master Social Worker

LOCUS Level of Care Utilization System

LP Licensed Psychologist

LPC Licensed Professional Counselor

LPN Licensed Practical Nurse

M-TREM Men’s Trauma Recovery and Empowerment Model

MACMHB Michigan Association of Community Mental Health Boards

MD Medical Doctor

MDLEG Michigan Department of Labor and Economic Growth

MDCH Michigan Department of Community Health

mg Milligram

MHP Medicaid Health Plan

MI Mental Illness

MIS Management Information Systems

MJC Michigan Jobs Commission

MMI Mid-Michigan Industries

MMPI/MMPI-2 Minnesota Multiphasic Personality Inventory-2

MMRMC Mid Michigan Regional Medical Center

MOTA Mecosta/Osceola Transit Authority

MR Mental Retardation

MRS Michigan Rehabilitation Services

MSHDA Michigan State Housing Development Authority

MSS Maternal Support Services

MST Multisystemic Therapy

MSW Master in Social Work

MUNC Medicaid Utilization and Net Cost

NAMI National Alliance on Mental Illness

NEO New Employee Orientation

NIMH National Institute of Mental Health

NKA No Known Allergies

NMSAS Northern Michigan Substance Abuse Services

NOC Northern Opportunity Center

NP Nurse Practitioner

NPO Nothing By Mouth

OBRA Omnibus Budget Reconciliation Act

OCD Obsessive Compulsive Disorder

OJE On-the-Job Evaluation

OJT On-the-Job Training

OM Office Manager

ORR Office of Recipient Rights

OTR/OT Registered Occupational Therapist

P&A Protection & Advocacy

PA Physician’s Assistant

PAP Papanicolaou (Test)

PBSP Positive Behavior Support Plans

p.c. After Meals

PCIT Parent Child Interaction Therapy

PCP Person-Centered Planning

PD Program Director

PECFAS Preschool and Early Childhood Functional Assessment Scale

PERS Personal Emergency Response System

PDR Physician’s Desk Reference

PHP Provider Health Plan

PHCP Primary Health Care Provider

PI Physical Intervention

PIC Performance Improvement Committee

PIHP Prepaid Inpatient Health Plan

PMTO Parent Management Training Oregon Model

p.o. By Mouth

PPG Program Policy Guidelines

PPO Preferred Provider Organization

prn As Needed

PS Protective Services

PSR Psychosocial Rehabilitation Program (Clubhouse)

PSS Peer Support Specialist

PT Physical Therapist

PTSD Post-Traumatic Stress Disorder

PWS Prader-Willi Syndrome

QAPIP Quality Assurance & Performance Improvement Program

QI Quality Improvement

QMHP Qualified Mental Health Professional

QMRP Qualified Mental Retardation Professional

r/o Rule Out (Diagnosis)

RD Registered Dietitian

RESD Regional Education Service District

RHIO Regional Health Information Organization

RICC Regional Interagency Coordinating Council—DD

RN Registered Nurse

RPT Registered Physical Therapist

RR Recipient Rights

RRA Recipient Rights Advisor

RRO Recipient Rights Officer

Rx Treatment, Therapy, Prescription

¯s Without

SAMSHA Substance Abuse and Mental Health Services Administration

SAR Service Authorization Request

SCC Standards Compliance Committee

SE Supported Employment

SED Serious Emotional Disturbance

SERC Sentinel Event Review Committee

SIDD Services to Individuals with Developmental Disabilities

SIDS Sudden Infant Death Syndrome

SILP Supported Independent Living Program

SIS Supports Intensity Scale

SLP Speech-Language Pathologist

SME Subject Matter Expert

SMI Serious Mental Illness

SOC Stages of Change

SPP School Partnership Program

SSDI Social Security Disability Income

SSA Social Security Administration

SSI Supplemental Security Income (Social Security)

SST Social Service Technician

STD Sexually Transmitted Disease

SUD Substance Use Disorder

TANF Temporary Assistance to Needy Families

TB Tuberculosis

TD Tardive Dyskinesia

TFC Therapeutic Foster Care

t.i.d. Three Times Daily

TJC The Joint Commission

TLLP Temporary Limited Licensed Psychologist

TREM Trauma Recovery and Empowerment Model

TREP Trauma Recovery and Empowerment Profile

TTY Teletypewriter (Telephone for Deaf & Hard of Hearing Persons)

Tx Treatment

UM Utilization Management

UR Utilization Review

w/ With

w/o Without

WAIS-R Wechsler Adult Intelligence Scale—Revised

WISC-III Wechsler Intelligence Scale for Children—3rd Edition

WRAP Wellness Recovery Action Plan

YTD Year-to-Date

SPECIAL ISSUE - do not use these dangerous abbreviations or dose designations

|Abbreviation/Dose Expression |

|Intended Meaning |

|Misinterpretation |

|Correction |

| |

|@ |

|At |

|Misunderstood or misread. |

|Use “at.” |

| |

|Apothecary symbols |

|Dram |

|minim |

|Misunderstood or misread (symbol for dram misread for “3” and minim misread as “mL”). |

|Use the metric system. |

| |

|ARAºA |

|Vidarabine |

|CytarabineARAºC |

|Use the complete spelling for drug names. |

| |

|AU |

|Aurio uterque (each ear) |

|Mistaken for OU (oculo uterque—each eye). |

|Don’t use this abbreviation. |

| |

|AZT |

|Zidovudine |

|(RETROVIR) |

|Azathioprine |

|Use the complete spelling. |

| |

|CPZ |

|COMPAZINE |

|(prochlorperazine) |

|Chlorpromazine |

|Use the complete spelling. |

| |

|D/C |

|Discharge |

|discontinue |

|Premature discontinuation of medications when D/C (intended to mean “discharge”) has been misinterpreted as “discontinued” when followed by |

|a list of drugs. |

|Use “discharge” and “discontinue.” |

| |

|DPT |

|DEMEROL-PHENERGAN-THORAZINE |

|Diphtheria-pertussis-tetanus (vaccine) |

|Use the complete spelling. |

| |

|HCl |

|Hydrochloric acid |

|Potassium chloride (The “H” is misinterpreted as “K.”) |

|Use the complete spelling. |

| |

|HCT |

|Hydrocortisone |

|Hydrochlorothiazide |

|Use the complete spelling. |

| |

|HCTZ |

|Hydrochlorothiazide |

|Hydrocortisone (seen as HCT250 mg) |

|Use the complete spelling. |

| |

|MS |

|Morphine Sulfate |

|Morphine Sulfate or Magnesium Sulfate |

|Use the complete spelling. |

| |

|MgSO4 |

|Magnesium sulfate |

|Morphine sulfate |

|Use the complete spelling. |

| |

|MSO4 |

|Morphine sulfate |

|Magnesium sulfate |

|Use the complete spelling. |

| |

|MTX |

|Methotrexate |

|Mitoxantrone |

|Use the complete spelling. |

| |

|TAC |

|Triamcinolone |

|Tetracaine, ADRENALIN, cocaine |

|Use the complete spelling. |

| |

|ZnSO4 |

|Zinc sulfate |

|Morphine sulfate |

|Use the complete spelling. |

| |

|“Nitro” drip |

|Nitroglycerin infusion |

|Sodium nitroprusside infusion |

|Use the complete spelling. |

| |

|Abbreviation/Dose Expression |

|Intended Meaning |

|Misinterpretation |

|Correction |

| |

|“Norflox” |

|Norfloxacin |

|NORFLEX |

|Use the complete spelling. |

| |

|μ g |

|microgram |

|Mistaken for “mg” when handwritten. |

|Use “mcg.” |

| |

|o.d. or OD |

|Once daily |

|Misinterpreted as “right eye” (OD—oculus dexter) and administration of oral medications in the eye. |

|Use “daily.” |

| |

|TIW or tiw |

|Three times a week. |

|Mistaken as “three times a day.” |

|Don’t use this abbreviation. |

| |

|per os |

|Orally |

|The “os” can be mistaken for “left eye.” |

|Use “PO,” “by mouth,” or “orally.” |

| |

|q.d. or QD |

|every day |

|Mistaken as q.i.d., especially if the period after the “q” or the tail of the “q” is misunderstood as an “i.” |

|Use “daily” or “every day.” |

| |

|qn |

|nightly or at bedtime |

|Misinterpreted as “qh” (every hour). |

|Use “nightly.” |

| |

|qhs |

|nightly at bedtime |

|Misread as every hour. |

|Use “nightly.” |

| |

|q.i.d. |

|four times daily |

|Mistaken as q.d. |

|Use “four times daily.” |

| |

|q6PM, etc. |

|every evening at 6 PM |

|Misread as every six hours. |

|Use 6 PM “nightly.” |

| |

|q.o.d. or QOD |

|every other day |

|Misinterpreted as “q.d.” (Daily) or “q.i.d. (four times daily) if the “o” is poorly written. |

|Use “every other day.” |

| |

|sub q |

|subcutaneous |

|The “q” has been mistaken for “every” (e.g., one heparin dose ordered “sub q 2 hours before surgery” misunderstood as every 2 hours before |

|surgery). |

|Use “subcut.” or write “subcutaneous.” |

| |

|SC |

|subcutaneous |

|Mistaken for SL (sublingual). |

|Use “subcut.” or write “subcutaneous.” |

| |

|U or u |

|unit |

|Read as a zero (0) or a four (4), causing a 10-fold overdose or greater (4U seen as “40” or 4u seen as 44”). |

|“Unit” has no acceptable abbreviation. Use “unit.” |

| |

|IU |

|international units |

|Misread as IV (intravenous). |

|Use “international units.” |

| |

|cc |

|cubic centimeters |

|Misread as “U” (units). |

|Use “mL.” |

| |

|x3d |

|for three days |

|Mistaken for “three doses.” |

|Use “for three days.” |

| |

|BT |

|bedtime |

|Mistaken as “BID” (twice daily). |

|Use “h.s.” |

| |

|Abbreviation/Dose Expression |

|Intended Meaning |

|Misinterpretation |

|Correction |

| |

|ss |

|sliding scale (insulin) or ½ (apothecary) |

|Mistaken for “55.” |

|Spell out “sliding scale.” Use “one-half” or use “½.” |

| |

|> and < |

|greater than and less than |

|Mistakenly used opposite of intended. |

|Use “greater than” or “less than.” |

| |

|/ (slash mark) |

|separates two doses or indicates “per” |

|Misunderstood as the number 1 (“25 unit/10 units” read as “110” units. |

|Do not use a slash mark to separate doses. |

|Use “per.” |

| |

|Name letters and dose numbers run together |

|(e.g., Inderal40 mg) |

|Inderal 40 mg |

|Misread as Inderal 140 mg. |

|Always use space between drug name, dose and unit of measure. |

| |

|Zero after decimal point (example 1.0) |

|1 mg |

|Misread as 10 mg if the decimal point is not seen. |

|Do not use terminal zeros for doses expressed in whole numbers. |

| |

|No zero before decimal dose |

|(example .5 mg) |

|0.5 mg |

|Misread as 5 mg. |

|Always use zero before a decimal when the dose is less than a |

|whole unit. |

| |

|  |

Approved by the Executive Leadership Team: 5/10/02

Revised: 9/17/02

Revised: 1/4/04

Revised: 6/30/06

Revised: 8/6/07

Revised: 7/28/09

Revised: 1/26/10

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